13th August 2024

A 51-year-old female presents to the neurology clinic with a 2 year history of intermittent left sided headache and facial droop

A 51-year-old female presents to the neurology clinic with a 2 year history of intermittent left sided headache and facial droop. The symptoms occur approximately 4-6 times a month. She reports that first, she notices that the left side of her face droops for 10-15 minutes and then the weakness resolves completely. She then develops a severe left sided headache that can last up to 3 days. She feels nauseous during this period and her symptoms are aggravated by noise and light. When her symptoms first began she went to A&E and had a CT head which was normal. She reports that she is also having problems sleeping and only sleeps 3-4 hours per night. Her regular medications are amlodipine 5 mg, aspirin 75 mg, atorvastatin 20 mg and bisoprolol 1.25 mg. Her observations are: HR 58 bpm, BP 125/82 mmHg, oxygen saturations 98% and her neurological examination is currently normal.

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